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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0536979
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COMPLIANCE INFO
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Entry Properties
Last modified
5/5/2023 3:26:05 PM
Creation date
7/3/2020 10:13:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0536979
PE
4120
FACILITY_ID
FA0021232
FACILITY_NAME
TOBACCO CITY (SOUK RATTANASACK)
STREET_NUMBER
550
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04745018
CURRENT_STATUS
02
SITE_LOCATION
550 S CHEROKEE LN STE G
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0536979_550 S CHEROKEE_.tif
Tags
EHD - Public
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e <br /> 17 t <br /> SAN JOAQUEN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 . <br /> y t <br /> t <br /> Donna Heran,R.E.H.S.,Director <br /> RENVIRONMENTAL HEALTH <br /> k *t <br /> •+ °,,. <br /> PERMIT TO OPERATE - 4121 -BODY ART FACILITY-STERILIZATION <br /> Permit ID# PT0022592 for Record ID# PR0536979tn a <br /> q' Valid From 7/1/2012 To 6/30/2013 ,--:, I , <br /> k <br /> � r <br /> ; 1 ` � d w <br /> 0 ; <br /> r ' <br /> �A <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. ; <br /> PERMIT(s)Valid only for: RATTANASACK SOUK <br /> * ` ` DBA: TOBACCO CITY <br /> ti}` <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0021232 <br /> Regulated Facility: TOBACCO CITY ; <br /> 550 S CHEROKEE LN#G k f -" Account ID AR0038345 <br /> LODI CA 95240 � � '� . Issued 10/16/2012 <br /> Jil <br /> }• <br /> Billing Address: ATTN : RATTANASACK, SOUK x s <br /> TOBACCO CITY ' <br /> � 550 S CHEROKEE LN STE G A � <br /> LODI CA 95240 , S � � y= r f <br /> 18 <br />
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